Individual
DR. LEIGH PAVA WENDTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LLP
Contact information
Practice address
2401 CAMELOT CT SE STE E, GRAND RAPIDS, MI 49546-6083
(616) 648-2289
(616) 949-3018
Mailing address
2401 CAMELOT CT SE STE E, GRAND RAPIDS, MI 49546-6083
(616) 648-2289
(616) 949-3018
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012338
MI
Other
Enumeration date
01/13/2006
Last updated
04/01/2025
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